Training
Contract Health Services
Management Information System
Data Movement
Data Exports
• UFMS – Federal Financial Obligations
• FI – Tribal and Federal Obligations
• NPIRS- Tribal Statistical Data
• DCIS – Department Contract Information
System Federal Sites (effective
Data Imports
Internal data transfers
• CHS to PCC
•
Paid Purchase Order information sent to
PCC for use by Clinicians
•
Data Found on the PCC Health Summary
How is the Destination of Data
Controlled?
• CHS Parameters File
• Payment Destination field within the
Purchase Order
CHS Main Menu
***************************************** * Indian Health Service * * CONTRACT HEALTH MGMT SYSTEM * * Version 3.1, Jun 11, 2001 * *****************************************
NOT-A-REAL FACILITY DOC Document Generation...
PAY Pay/Edit Documents... PRT Document Printing... ACC Account Balances... PT Patient Data...
VEN Provider/Vendor Data DIS Display Documents...
DCR Document Control Register MGT Facility Management...
DEN CHS Denial/Deferred Services...
CHS Facility Management Menu
CONTRACT HEALTH MGMT SYSTM, 3.1
NOT-A-REAL FACILITY
Facility Management
PVD
Provider/Vendor Data
PR
Reports...
PAD
Payment Adjustment
PED
Parameter Edit...
ALU
Allowance Update
XPOR
Data Export...
EOBR
Facility EOBR menu...
CHEF
C H E F Management...
HHS
Edit HHS Contract Action Type
HVP
High Volume Provider Menu...
RES
Reset the error global ACHSERR
TUPD
Add/Edit CAN, CC, SCC...
TVR
Test Version Switch
CHS Parameter Edit Menu
CONTRACT HEALTH MGMT SYSTM, 3.1
NOT-A-REAL FACILITY
Facility Management
EOFF
Add or Edit Electronic Signature Officials
ESIT
Add or Edit Electronic Signature Parameters
LAB
Edit CHS Label spacing
Edit CHS Mailing Address
NAME
Edit CHS Register Names
OBLI
Edit CHS Document Obligations Limits
OVER
Edit CHS Document Overpayment Allowances
PAR
Edit CHS Site Parameters
SIG
Edit CHS Document Signatures
CHS Facility Parameter Edit
Edit the CHS facility options for ‘NOT-A-REAL-FACILITY’. 1 questions mark (“?”) will get you help.
2 questions marks (“??”) usually gets you more help.
For printed help, print out chapter 1 of the Tech Manual (D ^ACHSTM) FACILITY IS 638 TYPE: YES//??
Answer “Y’ (YES) if your facility operates under PL-638 guidelines. Answer “N” (NO) if your facility is not a 638 facility,
If you facility is 638, cross checking of the COST CENTER TABLE will be simplified, i.e., presence of COST CENTERS 568, 573, and 574 will not be specifically checked.
This parameter, in conjunction with field 14.09, controls the export of 638 data to the area office.
Choose From: Y YES N NO
UFMS Start Date Automatically
Filled in for IHS Facilities
UFMS EXPORT START DATE:??
Examples of Valid Dates:
JAN 20 1957 oor 20 JAN 57 or 1/20/57 or 012057
T (for TODAY), T+1 (for TOMORROW), T+2, T+7, etc.
T-1 (for YESTERDAY), T-3W (for 3 WEEKS AGO), etc.
If the year is omitted, the computer uses CURRENT YEAR. Two digit year
assumes no more than 20 years in the near future, or 80 years in the past
You may mot the precise day, as: JAN, 1957
Process FI Data
This parameter controls whether the Patient(3), Vendor(4)
and Document(5) records are processed at the Area office
for transmittal to the Fiscal Intermediary. (Should be “yes”
for IHS facilities).
PROCESS FI DATA: YES//??
Answer ‘YES’ if you want to send Patient, Vendor, and Document
records to the Fiscal Intermediary (FI).
Answer ‘NO’ if you do not want to send the data.
Choose from:
Y
YES
N
NO
Process Area Office Data
PROCESS AREA OFFICE DATA: YES//??
Answer ‘YES’ if you want to send Patient, Vendor, and Document
records to the Fiscal Intermediary (NCR).
Answer ‘NO’ if you do not want to send the data.
Choose from:
Y
YES
N
NO
File Setup for IHS (Federal)
Service Unit
Select CHS FACILITY NAME: NOT-A-REAL-FACILITY
JFMS EXPORT START DATE: OCT 1, 2007//
PROCESS FI DATA: YES//
PROCESS AREA OFFICE DATA: YES??
•
Using CHS/MIS and Sending CHS Data to the Area Office
•
Using the CHS FI
•
CHS to PCC Link is Off
File Setup for IHS (Federal)
Service Unit (cont)
PCC Master Control File Example
Select PCC MASTER CONTROL SITE:
NOT-A-REAL FACILITY
Select PACKAGE: CONTRACT HEALTH MGMT SYSTEM//
PACKAGE: CONTRACT HEALTH MGMT SYSTEM//
PASS DATA To PCC?: NO//
File Setup for Tribal Facilities
Select CHS FACILITY NAME: NOT-A-REAL FACILITY
EXPORT STATISTICAL DATA: NO//
PROCESS AREA OFFICE DATA: YES//
PROCESS FI DATA: YES//
•
Using CHS/MIS and Sending CHS Data to the Area Office
•
Using the CHS FI
•
CHS to PCC Link is Off
File Setup for Tribal Facilities (cont)
PCC MASTER CONTROL FILE example:
(In this scenario, the only source of CHS data for
NPIRS is from the CHS FI)
Select PCC MASTER CONTROL SITE:
NOT-A-REAL FACILITY
Select PACKAGE: CONTRACT HEALTH MGMT SYSTEM//
PACKAGE: CONTRACT HEALTH MGMT SYSTEM//
PASS DATA TO PCC?: NO//
When creating a purchase order the document
destination entry can determine the disposition of
a document:
•
Select RCIS REFERRAL by
Patient or by Referral Date or #:
•
Are you sure you want to enter a
P.O. w/o a Referral?
•
ENTER FISCAL YEAR:
(1990-2008): 2008//
•
Enter Estimated Date of Service:
•
Select PROVIDER/VENDOR:
•
DESCRIPTION OF SERVICE:
•
Period Of Authorization
•
From Date:
•
To Date:
•
Hospital Order Number:
•
Enter last 4 digits of the CAN
Number:
•
Service Class Code:
•
OBJECT CLASS CODE = 254D
•
DOCUMENT DESTINATION://F
Choose from:
I IHS
F FISCAL AGENT
•
Optional Comments:
•
Estimated Charges:
•
IHS REFERRAL MEDICAL
PRIORITY:
•
Enter ADDITIONAL REFERRAL
To Change the Default Payment Destination
From I or F:
•
GO TO the Facility MGT Menu
•
Select the Option TUBD Add\Edit CAN, CC, SCC
•
Within the Submenu Select SCC Add/Edit Service Class Codes
•
CAN Add/Edit CAN Number
•
CC Add/Edit Cost Center
•
SCC Add/Edit Service Class Codes
•
PCCC Print CANs/Cost Centers
•
PSCC Print SCC, CC, and Register
•
Enter the Service Class Code:
•
Select CODE: 252D//
•
Enter the desired default payment destination (F or I)
•
DESCRIPTION: DENTAL//
IHS (Federal) Service Unit Export
•
Using CHS/MIS and Sending CHS Data to the Area Office
•
Using the CHS F1
•
CHS to PCC Link is Off
CONTRACT HEALTH MGMT SYSTEM, 3.1
Edit CHS Site
Parameters
FACILITY IS 638 TYPE: No
Process Area Office Data? Yes
Process FI Data? Yes
Payment Destination: FI or IHS
PCC MASTER CONTROL FILE:
Tribal Facility Exports
•
Using CHS/MIS and Sending CHS Data to the Area Office
•
Not using the CHS FI
•
CHS to PCC Link is On
CONTRACT HEALTH MGMT SYSTEM 3.1
Edit CHS Site Parameters
FACILITY IS 638 TYPE: YES PROCESS FI DATA: NO
PROCESS AREA OFFICE DATA: YES EXPORT STATISTICAL DATA: YES
PCC MASTER CONTROL File:
Package: Contract Health System Pass CHS Data to PCC? YES
NEW PERSON File:
Select NEW PERSON NAME: CONTRACT,PROVIDER NAME: CONTRACT,PROVIDER//
AFFILIATION: CONTRACT// PROVIDER CLASS: OTHER// CODE: 999//
Paid Purchase Orders = Statistical
Record
Fac: 113510 IHS#: 104144 773534669 | NOT-A-REAL FACILITY
CHYLTUN, LOLA M | PHS Indian Health Center RED LAKE, MN 56591 | White Earth MN 56591 09-09-1956 F 504 002106-15-27 | 113510
--- Est. date-of-svc.: Jun 30, 2008 | KATHY OLSON
MAMMOGRAM |
| ALBUQUERQUE, NM 87110 Hosp Ord #: --- |2555226666-A1 Open Market |
--- Auth. From Jun 30, 2008 to Jul 10, 2008 --- SCC: 25.2H
DCR Acct. = OTHER CHS CAN/OBJ: J53NW72 / 25.6Q --- Estimated Charge: $100.00 Hosp Order No: ---
Initial Obligation 100.00
Amount Canceled: 0.00 ( Items) Amount Of Supplements 0.00 ( )
---
CURRENT OBLIGATION BALANCE 100.00 (IHS) (3rd PARTY) FINAL PAYMENT ON Jun 30, 2008: 100.00 0.00
A WALK THROUGH THE
EXPORT PROCESS
CHS EXPORT:
Facility Export Process
********************************************************** * Indian Health Service * * CONTRACT HEALTH MGMT SYSTEM * * Version 3.1, Jun 11, 2001 * ********************************************************* FACILITY NAME
DOC Document Generation ... PAY Pay/Edit Documents ... PRT Document Printing ... ACC Account Balances ... PT Patient Data
VEN Provider/Vendor Data DIS Display Documents ... DCR Document Control Register MGT Facility Management ...
DEN CHS Denial/Deferred Services ...
EMNU Electronic Signature Authorization Menu ... XXXX CHS Programmer Utilities
CHS Export:
Facility Export Process
PVD Provider/Vendor Data
PR Reports ...
PAD Payment Adjustment
PED Parameter Edit ...
ALU Allowance Update
XPOR Data Export ...
EOBR Facility EOBR menu ...
CHEF C H E F Management ...
HHS Edit HHS Contract Action Type
HVP High Volume Provider Menu ...
RES Reset the error global ACHSERR
TUPD Add/Edit CAN, CC, SCC ...
TVR Test Version Switch
Select Facility Management Option: XPOR <Exnter XPOR at the CHS
CHS EXPORT:
Facility Export Process
CDPE CHS data - prepare for export
RETD Re-Export CHS Transmission Data
XPT Mark Patient For Export
XVEN Mark Vendor For Export
Select Data Export Option: CDPE <enter CDPE at the CHS Data
CHS EXPORT:
Facility Export Process
•
This report will examine data in documents produced since your last export, and
produce a report listing any documents with missing or invalid data, that is required
by the Data center in Albuquerque.
•
Checks include checking for valid ICD-9 codes, EIN vendor number, Provider Type,
and valid Admit/Discharge dates.
•
You should run a pre-export data check, which will produce an error report
displaying any potential errors. Data should be corrected in order to be sent.
Run pre-export data check first? YES//
DEVICE: HOME// VIRTUAL Right Margin: 80//
--- CHS TRIBAL STATISTICAL EXPORT ERROR REPORT
From Transaction Date Oct 16, 2007 to Oct 25, 2007
---
DOCUMENT NUMBER TYPE OF ERROR --- ---
TOTAL HOSPITAL DOCUMENTS WITH ERRORS = 0
TOTAL DENTAL DOCUMENTS WITH ERRORS = 0
TOTAL OUTPATIENT DOCUMENTS WITH ERRORS = 0
CHS EXPORT:
Facility Export Process
After the pre-export error check, the screen will display the number and type of
records sent.
*******************************************************************************
BEGINNING ADD/UPD DATE = Nov 30, 2007
ENDING ADD/UPD DATE = Dec 11, 2007
--- T Y P E O F R E C O R D NUMBER
---
3. PATIENT RECORDS FOR AO/FI 2 4. VENDOR RECORDS FOR AO/FI 2 5. DOCUMENT RECORDS FOR AO/FI 3 6. PAYMENT RECORDS FOR AO 0 7. STATISTICAL RECORDS 0
